家庭干预对出院精神分裂症患者功能康复的影响

目的 探讨家庭干预对出院精神分裂症患者功能康复的影响.方法 对80例出院的精神分裂症患者随机分为干预组和对照组各40例.两组患者均接受抗精神疾病药物的维持治疗,在此基础上干预组进行综合家庭干预,而对照组仅限于传统的院外门诊治疗.于干预前和干预后6个月、12个月对两组进行简明精神病量表(BPRS),日常生活能力量表(ADL),精神护理观察量表(NORS),社会功能缺陷筛选量表(SDSS)评定.结果 干预组6个月后BPRS、NORS、ADL评分分别为(21.4±5.5)、(55.0±8.6)和(19.6±4.8);对照组分别为(23.5±5.1)、(60.0±8.2)和(21.7±5.5),两组各项评分差异有统计学意义.干预组12个月后BPRS、NORS、ADL、SDSS评分分别为(16.3±3.4)、(48.0±6.8)、(4.1±2.2)和(14.5±5.5);对照组分别为(19.7±6.2)、(54±7.2)、(6.7±2.8)和(18.7±5.5),两组各项评分差异有统计学意义.1年内干预组4例复发(10%),对照组11例复发(24.5%),差异显著(P＜0.01).结论 家庭干预能降低精神分裂症患者的复发率,有利于社会功能康复.

Influence of Family Intervention on Rehabilitation of Discharged Schizophrenia Patients

Objective To discuss the influence of family intervention on rehabilitation of discharged schizophrenia patients.Methods A total of 80 discharged schizophrenia patients were randomly divided into intervention group and control group with 40 examples each.Two group of patients received the anti-mental illness medicine,based on which the intervention group received the comprehensive family intervention,but the control group only received traditional ambulatory treatment.The two groups were evaluated by BPRS,ADL,NORS and SDSS before intervention and after 6 months,12 months of intervention.Results The scores of BPRS,NORS and ADL of intervention group at latter 6 month were（21.4±5.5）,（55.0±8.6） and（19.6±4.8） respectively.Those of the control group were（23.5±5.1）,（60.0±8.2） and（21.7±5.5） respectively.Each score of two groups had significant differences.The scores of BPRS,NORS,ADL and SDSS of intervention group at latter 12 month were（16.3±3.4）,（48.0±6.8）,（4.1±2.2） and（14.5±5.5） respectively.Those of the control group were（19.7±6.2）,（54±7.2）,（6.7±2.8） and（18.7±5.5） respectively.Each score of two groups had significant differences.In 1 year,4 examples of intervention group relapsed（10%）,11 examples of the control group relapsed（24.5%）,the difference was significant（P0.01）.Conclusion The family intervention can reduced the recurrence rate of schizophrenia,is advantageous in the social function recovery.